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Durable Medical Equipment Community Supports Tough Anti-Fraud Measures, Corrects Persistent Myths
Date:9/22/2010

WASHINGTON, Sept. 22 /PRNewswire-USNewswire/ -- The American Association for Homecare supports tough anti-fraud measures for Medicare, and we hope that the Energy and Commerce subcommittee hearing on this issue this week will focus on effective measures to prevent theft of taxpayer dollars. The American Association for Homecare represents providers of durable medical, or home medical equipment and services.

We have zero tolerance for fraud and will continue to work to help the Centers for Medicare and Medicaid Services, the HHS Office of Inspector General, and other federal officials to more effectively regulate this sector.

Several years ago, the American Association for Homecare proposed to Congress a 13-point Medicare Anti-Fraud Legislative Action Plan that included tougher penalties for fraud, more site visits, and real-time claims audits to prevent fraud at the front-end of the process rather than relying on the ineffective pay-and-chase system.  Parts of our 13-point plan have been proposed in several congressional bills and were adopted in the recent health reform law.  However, we encourage Congress to adopt all of our proposals to ensure a comprehensive approach that shuts down avenues for Medicare fraud.  Details of the 13-point plan can be viewed at www.aahomecare.org/stopfraud.

It's important to point out that providers of home medical equipment must now be accredited by a deemed accrediting organization and they must also post a surety bond. These two requirements took effect a year ago, October 2009, and fraud associated with the home medical equipment sector has likely declined since then. We encourage federal officials to assess and report the rate of fraud since those requirements took effect.  

Spending in the home medical equipment sector represents less than two percent of total Medicare spending, and fraud associated with durable
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SOURCE American Association for Homecare
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